Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
SOUTHWEST BEHAVIORAL CARE, INC.
POSITION : D&A Case Management Utilization Review/Continuing Care Coordinator
Full-Time Position -Greensburg, PA Location
Work alongside our HEROES… APPLY TODAY AND BECOME A PART OF THE SPHS FAMILY!
**COMPREHENSIVE BENEFIT PACKAGE (FOR ELIGIBLE EMPLOYEES) INCLUDING MEDICAL AND DENTAL**
**OPPORTUNITY FOR PROFESSIONAL GROWTH AND ADVANCEMENT**
**TUITION DISCOUNTS WITH PARTICIPATING COLLEGES AND UNIVERSITIES**
Responsible for the Utilization Reviews for clients and services and outcome/tracking for the Single County Authority and other funding sources.
ESSENTIAL FUNCTIONS:
QUALIFIED INDIVIDUALS SHOULD VISIT OUR WEBSITE FOR CURRENT EMPLOYMENT OPPORTUNITIES.
EQUAL OPPORTUNITY EMPLOYER
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